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Individual

NICHOLAS JAMES FREDERICK SPAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1301 E MAIN ST, MURFREESBORO, TN 37132-0002
(931) 278-4805
Mailing address
5150 JACK BYRNES DR APT 4304, MURFREESBORO, TN 37128-7061

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TN

Other

Enumeration date
12/19/2023
Last updated
12/19/2023
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